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Brent Sutherland, CRNA
NPI 1205842358 · on the registry since 2006 · sole proprietor
Practice
- Address
- 2532 Coronado
Idaho Falls, ID 83404 - Phone
- (208) 557-2700
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho